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�_ � _ <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �::' , � _�,3 �� .� : ;; � :� <br /> PID• .� � �� � ' ` <br /> _ � ���, �,��.� �_�� <br /> DESCRIPTION OF WORK: Gi2AD1/v G <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: � DATE APPROVED: 'l -3d `i 7 <br /> BUILDING REVIEW BY: /�- DATE APPROVED: <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT — �2a�Nvh Yes � No <br /> PLAN REVIEW J Yes No SEWER CONNECTION <br /> STATE SUR`�-IARGL Yes No WATERCONNECTION <br /> INVESTIGAT'ION FEE Yes No PARK FEE <br /> SAC Y::s No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: , <br /> F�ertr(Lake): p�P.�. 7�� Right Side: J <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> , <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland Dist:ict: `/'�S <br /> Avg. Setback: N�/1- Bluff Setback: N �/4 Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' N� <br /> 250-500' <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> � 26 <br />